THERESE GRACE SUMAGUE SANTOS DO
NPI 1851929111
Family Medicine in Yorba Linda, CA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
4300 ROSE DR, YORBA LINDA, CA 92886(714) 528-4211 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, Mar 31, 2020 (2 updates tracked since 2020).

About Therese Grace Sumague Santos Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESE GRACE SUMAGUE SANTOS DO (NPI 1851929111) is an individual family medicine provider in Yorba Linda, California, licensed in California (20A19785) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851929111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESE GRACE SUMAGUE SANTOSCredential: DO
Location Address4300 ROSE DRYorba Linda, CA 92886-2026
Mailing Address4300 Rose DrYorba Linda, CA 92886-2026 · (714) 528-4211
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1851929111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A19785
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4300 ROSE DR, Yorba Linda, CA 92886

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Therese Grace Sumague Santos Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062823651
PECOS Enrollment IDI20231121003286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services18 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Family Medicine
4300 ROSE DR
YORBA LINDA, CA 92886
Pediatrics
4300 ROSE DR
YORBA LINDA, CA 92886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Therese Santos's NPI number?

The NPI number for Therese Santos is 1851929111. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Therese Santos located?

Therese Santos practices at 4300 Rose Dr, Yorba Linda, CA 92886. The listed phone number is (714) 528-4211.

What is Therese Santos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Therese Santos enrolled in Medicare?

Yes. Therese Santos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Therese Santos was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.